Healthcare Provider Details

I. General information

NPI: 1588293500
Provider Name (Legal Business Name): JESSICA WEST MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: JESSICA ELISE MCCAMISH

II. Dates (important events)

Enumeration Date: 04/02/2020
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1280 S VICTORIA AVE #250
VENTURA CA
93003-6521
US

IV. Provider business mailing address

1280 S VICTORIA AVE #250
VENTURA CA
93003-6521
US

V. Phone/Fax

Practice location:
  • Phone: 805-351-0745
  • Fax: 805-288-6744
Mailing address:
  • Phone: 805-351-0745
  • Fax: 805-288-6744

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License NumberA194398
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code2081P2900X
TaxonomyPain Medicine (Physical Medicine & Rehabilitation) Physician
License NumberA194398
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: